Manager, Claims

Alliant Insurance Services

Yardley (Bucks County)

On-site

USD 120,000 - 180,000

Full time

14 days+
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Job summary

Alliant Insurance Services is seeking a senior leader to head the Liability Claims team in the Bucks County/Yardley area. You will drive coverage determinations, manage litigation, and ensure fair, efficient handling aligned with policy terms and regulations.

Strong leadership and stakeholder management are essential for success in this role. Responsibilities include governance, performance metrics, audits, and development of claims staff to improve outcomes while maintaining compliance with

Qualifications

  • Bachelor's degree or equivalent, plus multi‑year claims experience.
  • 7+ years progressive insurance claims experience including complex cases.
  • Valid insurance license is required.

Responsibilities

  • Lead and oversee the liability claims team and ensure appropriate coverage determinations.
  • Manage governance, service standards, escalation protocols, and performance metrics.
  • Oversee complex or escalated claims and provide resolutions or escalations.
  • Maintain relationships with adjusters, counsel, insurers, brokers, and clients.
  • Monitor claims performance metrics and reserve levels.
  • Use data to identify emerging risks and process improvements.
  • Coordinate audits and quality assurance reviews, including state audits.
  • Ensure complete, accurate, and secure claims records and management information.
  • Lead staff development, performance objectives, and succession planning.
  • Represent the company at industry events and conferences.

Skills

Claims governance
Policy interpretation
Litigation management
Stakeholder management
Analytical thinking
Leadership & coaching

Education

Bachelor's degree or equivalent
7+ years insurance claims experience
Valid Insurance License

Tools

Claims software

Job description

SUMMARY

Responsible for leading and overseeing Liability claims team including ensuring appropriate coverage determinations, preparation of coverage position letters, litigation management, and allocation of fault and liability determinations. Ensuring claims are handled fairly, efficiently, and in accordance with policy terms, service standards, contractual requirements, and applicable laws and regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Manages claims governance, service providers, performance reporting, escalations, and team development while using claims insight to improve outcomes.
  • Establishes and maintains claims governance, procedures, service standards, authority levels, escalation protocols, and performance measures.
  • Oversees claims activity to support timely, accurate, fair, and commercially appropriate outcomes consistent with policy terms and underwriting intent.
  • Reviews significant, complex, disputed, sensitive, or escalated claims and provides recommendations for resolution or further escalation.
  • Manages relationships with adjusters, defense counsel, experts, insurers, brokers, clients, and other service providers.
  • Monitors claims performance including claim volumes, severity, cycle times, reserving, litigation, recoveries, complaints, and large losses.
  • Uses claims data and experience to identify emerging risks, opportunities, coverage or process issues.
  • Coordinates claims audits and quality assurance reviews, including any State audits or reviews
  • Ensures claims records, data, documentation, decisions, and management information are complete, accurate, secure, and reviewable.
  • Promotes fair claims handling, appropriate outcomes, privacy protection, consistent treatment of claimants, and compliance with applicable legal and regulatory requirements.
  • Leads, coaches, and develops claims personnel; manages objectives, performance, training, staffing, succession planning, and use of external resources.
  • Identifies and implements improvements to claims workflows, technology, automation, controls, service quality, efficiency, and financial performance.
  • Represents the company at industry events, marketing opportunities and conferences.
  • Performs all duties in accordance with all company policies and procedures, and all federal, state and local laws, wherein the Company operates
  • Performs other duties as assigned.
QUALIFICATIONS
EDUCATION / EXPERIENCE
  • Bachelor's Degreeor equivalent combination of education and experience
  • Seven (7) or more yearsprogressive experience in insurance claims, including complex commercial or specialty claims
  • Valid Insurance License
SKILLS
  • Strong knowledge of claims handling principles, policy interpretation, coverage analysis, reserving, litigation management, recoveries, and claims governance
  • Knowledge of applicable insurance laws, regulations, licensing requirements, privacy obligations, and fair claims handling expectations
  • Excellent verbal and written communication, presentation, negotiation, and stakeholder-management skills
  • Strong analytical, planning, organizational, prioritization, and problem-solving skills
  • Ability to interpret claims data and convert analysis into practical underwriting and business recommendations
  • Ability to exercise sound judgment, manage ambiguity, and resolve complex or sensitive issues
  • Ability to lead, motivate, coach, and develop staff and foster effective teamwork

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